FreshRN05

FreshRN05

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All Content by FreshRN05

  1. Trouble with charting...DART (focus)

    I am getting so stressed out and frustrated. I am still in my orientation at work and I am finding it very difficult to chart. Our hospital use DART (data, action, response, treatment) style. I know it seems easy and self explanatory but I am having ...
  2. DNR-Comfort measures

    I get a little confused about this two..no, actually just the "comfort measure"...I recently had a patient who was a DNR but the family requested comfort measure (IV therapy and IV antibiotics ok also)....My patient was a 78 years old with pleural ef...
  3. I'm feeling dumb........

    Hello, all I have been on orientation for 2 days now. Most of the time I feel like I don't know what I'm doing and I just follow what my preceptor tells me to do (even what to say to patients). The floor I'm working at is a Med-surg floor and so far ...
  4. Have you guys heard of this type of deal? Apparently a Skilled Nursing Facility in Palm Springs, CA has this type of deal where you work 2 12-hour shifts as an RN and get paid 40 hours. Such a too good to be true type of deal...Then you work every ot...
  5. Yesterday at work, I was really worked up with one of my patients who has a sickle cell anemia..She's 24 years old and had been dealing with it since she was about 4 years old...According to the other nurses at my work, she's a frequent flyer and a n...
  6. sickle cell crisis...when enough is enough....

    this is exactly what I don't understand.....my patient was very much alert and oriented...she knows what's going on and even her vitals signs revealed that she's in pain...the doctor even said it himself that she's experiencing tolerance with her pai...
  7. $23/hr to travel?

    $23 per hour????????? Wow! That's so cheap! I've never done travel nursing but I know a lot of travel nurses from work and they get paid at least $50-60 per hour...You might need to research more and maybe find another company........just my penny!
  8. Transfering from the U.S. to Philippine Nursing School

    Wow, that's a shame..but then again AUF has gained its reputation as one of the top nursing schools in the Philippines......I wonder though as to why they would not transfer your credits??? Here in the US, subjects are not bluntly rejected but needs ...
  9. Please share your embarrassing stories!

    ok, this one happened just last week...I had an order to start TPN/lipids on my patient...Our policy is to use two seperate pumps for the TPN and lipd and to use a filter for the TPN...Well, I did all the IV tubing connection and filter together and ...
  10. California patient Ratio

    In the unit I work at (Med-Surg...mostly post op patients or awaiting for surgery) we sometimes do team nursing. If I have 10 patients, I will have an LVN and CNA working with me...The LVN will do all the PO meds and treatments (dressing change, F/C ...
  11. Giving Report

    when giving report ( we do ours via voicecare...not nurse-nurse) you do not have to give head-to-toe report on your patient. Focus on what the patient is in the hospital for and if there's any changes in his/her condition...This is how I do mine: 1) ...
  12. First Year--Gain Weight or Lose Weight?

    well....let's see....I'd say the first 3 months I was losing weight because of stress (I lost about 10-15 lbs in 3 months) but guess what???!!!!!! I'm gaining it back and fast (and more...)...I'm soooo hating it...I have wedding to attend to in Septe...
  13. Work 2 12-hour shift and get paid 40 hours???

    what I've heard is that this person works every wednesday and thursday AM 12-hour shifts and then every other weekend 12-hours night shifts. So say if this week she'll only work 2 days then next week 4 days.....She works in Skilled Nursing Facility a...
  14. What's In Your Pocket?

    alcohol swabs IV tubing caps pen light pens (red and black) pencil highlighter syringes sodium chloride bandaids tape kelly clamp bandage scissor mints cell phone (unit allowed) critical lab slips blank piece of paper
  15. I don't want to short change my self when I start HH...The agency that I will be working for will be paying me $100.00 per admission. HH is really new to me and I'd like to get some opinions from all you who are well experienced with HH..Here are som...
  16. So how much do you owe?

    From an ADN community college in upstate NY......$18900.00........
  17. Hi, Your post reply caught my attention about switching to a non bedside nursing...working for an insuance company. I too graduated in May 05 and I've been working in a med-surg tele unit for almost a year...but I am more interested in possibly work...
  18. team working

    Ok...I just have a question.....when doing team nursing, your team should work as a team right??? It doesn't matter if you're the RN, LVN, or the nurse tech as long as we all work together to have a smooth and well accomplished day...But...what if on...
  19. what is your nurse to patient ratio?

    in my home unit (ER overflow with tele), we have 5:1 (sometimes with tech depending on our unit census)...when I float to other floors, it's 10:1 (non tele) with an LVN and a tech; 8:1 (tele) with an LVN and a Tech who is nowhere to be found.....
  20. How did you feel when you came off orientation?

    Hi, After what happened to me last night at work ( doing almost everything that my Nurse Tech should have done on top of my own responsibilities...hence not being able to take breaks and not able to get out in time) I came to realize that next time I...
  21. How did you feel when you came off orientation?

    Well....I've been off orientation for about a month now...I normally work in my home unit where we only care for 5 patients (total care) and our unit is an overflow of the ER (med-surg/tele)....I was doing fine until our unit temporarily closed due t...
  22. Can someone tell me what exactly an Admission RN does? Recently, I was approached by one of my church members who owns a nursing agency asking me if I want to work for her company doing admission assesments. She said she pays $100.00 for each admiss...
  23. New to Home Health....any tips or advice?

    wow...i'm getting more and more excited as I get answers to my questions.....Organizational wise, I think it will not be a problem for I like things to be organized especially paper works....I just seem to notice though that in the hospital world get...
  24. New to Home Health....any tips or advice?

    Hi, thank you for replying.......I actally was able to see the OASIS form and the way I see it, it maybe time consuming to fill out the the whole form but some of the questions are questions that I normally see when I get direct admit patient in the ...
  25. New to Home Health....any tips or advice?

    Thanks... I live in CA.....Can I ask you a question? What exactly do you do when you start a case? Any tips besides doing complete/comprehensive assessment?